Clinical Effects of Exercise Combined with Respiratory Training in the Rehabilitation Treatment of Patients with Chronic Obstructive Pulmonary Disease.
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Abstract
Objective: This study aimed to evaluate the impact of exercise and respiratory training for chronic obstructive pulmonary disease (COPD) patients on specific COPD-related outcomes, such as lung function, exercise capacity, and patient prognosis.
Methods: This work had a retrospective design. The subjects of this study were 90 patients with COPD who were treated in our hospital from May 2020 to May 2021. The patients were divided into two groups according to whether they performed exercise combined with respiratory training based on conventional treatment. After two weeks of intervention, the difference in rehabilitation outcomes between the two groups was detected at the first and third months after discharge.
Results: The rehabilitation compliance of the observation group was significantly higher than that of the control group (95.56% vs. 77.78%, P < .05). The forced expiratory volume in one second (FEV1) (2.66±0.71 vs. 2.28±0.48, P = .004), forced vital capacity (FVC) (3.30±0.70 vs. 3.00±0.63, P = .035), FEV1/FVC (80.61±8.01% vs. 76.77±7.34%, P = .020), maximal ventilation volume per minute (MVV) (96.14±3.50 vs. 91.20±4.97, P < .001), partial pressure of blood oxygen (PaO2) (89.52±6.87 vs. 82.65±6.54, P < .001), and oxygen saturation of blood (SaO2) (98.05±1.27 vs. 95.90±1.42, P < .001) in the observation group were significantly higher than those in the control group. In contrast, arterial partial pressure of carbon dioxide (PaCO2) (39.52±1.66 vs. 43.21±2.01, P < .001) was significantly lower than that in the control group. The observation group's 6-minute walking distance (6MWD) (401.05±65.66 vs. 360.25±54.94, P = .002) after treatment was significantly longer than those of the control group. The acute exacerbation rate (6.67% vs. 20.00%, P = .036), rehospitalization rate (4.44% vs. 17.78%, P = .044), and mortality rate (0.00% vs. 8.89%, P = .041) of the observation group were lower than those of the control group.
Conclusion: The application of exercise training combined with respiratory training in the rehabilitation treatment of COPD patients can more effectively promote the improvement of lung function, blood gas indexes, exercise endurance, and respiratory function and can improve the symptoms of dyspnea, with a good prognosis. This study confirmed the additional health benefits of exercise/respiratory training for COPD patients and provides evidence for the application of exercise/respiratory training in clinical practice. Therefore, it is recommended that in clinical practice, the necessity of exercise/respiratory training in COPD patients needs to be considered. However, the duration of intervention and follow-up period in this study were short, and longer intervention and follow-up are still needed to further confirm the results of this study.
研究目的本研究旨在评估慢性阻塞性肺病（COPD）患者的运动和呼吸训练对肺功能、运动能力和患者预后等特定 COPD 相关结果的影响：本研究采用回顾性设计。研究对象为2020年5月至2021年5月在我院接受治疗的90名慢性阻塞性肺疾病患者。根据患者是否在常规治疗的基础上进行运动结合呼吸训练，将其分为两组。干预两周后，检测两组患者出院后第1个月和第3个月的康复效果差异：结果：观察组的康复依从性明显高于对照组（95.56% 对 77.78%，P < .05）。观察组的血氧分压（PaO2）（89.52±6.87 vs. 82.65±6.54，P＜0.001）和血氧饱和度（SaO2）（98.05±1.27 vs. 95.90±1.42，P＜0.001）明显高于对照组。相比之下，观察组的动脉二氧化碳分压（PaCO2）（39.52±1.66 vs. 43.21±2.01，P < .001）明显低于对照组。观察组治疗后的 6 分钟步行距离（6MWD）（401.05±65.66 vs. 360.25±54.94，P = .002）明显长于对照组。观察组的急性加重率（6.67% vs. 20.00%，P = .036）、再住院率（4.44% vs. 17.78%，P = .044）和死亡率（0.00% vs. 8.89%，P = .041）均低于对照组：结论：在慢性阻塞性肺疾病患者的康复治疗中应用运动训练联合呼吸训练，能更有效地促进肺功能、血气指标、运动耐力和呼吸功能的改善，并能改善呼吸困难症状，预后良好。本研究证实了运动/呼吸训练对慢性阻塞性肺疾病患者的额外健康益处，为运动/呼吸训练在临床实践中的应用提供了证据。因此，建议在临床实践中需要考虑对慢性阻塞性肺病患者进行运动/呼吸训练的必要性。然而，本研究的干预时间和随访时间较短，仍需更长时间的干预和随访来进一步证实本研究的结果。
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Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field.
Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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